Psychological Distress After Severe Trauma: A Prospective 1-Year Follow-Up Study of a Trauma Intensive Care Unit Population.

https://arctichealth.org/en/permalink/ahliterature96251
Source
J Trauma. 2010 Jul 20;
Publication Type
Article
Date
Jul-20-2010
Author
Kirsti Tøien
Hilde Myhren
Inger Schou Bredal
Laila Skogstad
Leiv Sandvik
Oivind Ekeberg
Author Affiliation
From the Intensive Care Unit (K.T., H.M.) and Department of Nursing Research (K.T.), Oslo University Hospital, Ulleval, Oslo, Norway; Institute of Nursing Science (K.T., I.S.B.), Faculty of Medicine, University of Oslo, Ulleval, Oslo, Norway; Unit of Breast and Endocrine surgery (I.S.B.), Oslo University Hospital, Ulleval, Oslo, Norway; Emergency Department and Department of Nursing Research (L.S.), Oslo University Hospital, Ulleval, Oslo, Norway; Section of Epidemiology and Biostatistics (L.S.), Oslo University Hospital, Ulleval, Oslo, Norway; Department of Acute Medicine (O.E.), Oslo University Hospital, Ulleval, Oslo, Norway; and Department of Behavioral Sciences in Medicine (O.E.), Faculty of Medicine, University of Oslo, Ulleval, Oslo, Norway.
Source
J Trauma. 2010 Jul 20;
Date
Jul-20-2010
Language
English
Publication Type
Article
Abstract
BACKGROUND:: The aim of the study was to investigate the level of psychologic distress after trauma and intensive care unit (ICU) stay, memory from the ICU, and predictors for psychologic distress at 12 months. METHODS:: Prospective single center study in a trauma referral center for Eastern and Southern Norway. Participants were 150 trauma patients treated in an ICU for >24 hours. Assessments were performed after discharge, at 3 months, and at 12 months using the Impact of Event Scale, Hospital Anxiety and Depression Scale, ICU memory tool, and Life Orientation Test-Revised. RESULTS:: At baseline, the mean Impact of Event scores were 22.7 decreasing to 18.4 at 12 months (p = 0.039). At 1-year follow-up, mean anxiety scores were 5.5 (95% confidence interval [CI]: 4.6-6.4) and depression scores 3.8 (95% CI: 3.1-4.5). Factual memories from ICU (odds ratio [OR] 6.58, [95% CI: 2.01-21.52], p = 0.002), low educational level (OR 0.29, [95% CI: 0.10-0.86] p = 0.025), not having care of children (OR 0.14, [95% CI: 0.04-0.47] p = 0.002), and female gender (OR 2.95, [95% CI: 1.04-8.34] p = 0.042) predicted posttraumatic stress symptoms at 12 months. Anxiety at 12 months was predicted only by pessimism (OR 0.83, [95% CI: 0.75-0.93] p = 0.001). Depression at 12 months was predicted by being out of work before the injury (OR 3.64, [95% CI: 1.11-11.94] p = 0.033) and pessimism (OR 0.83, [95% CI: 0.73-0.93] p = 0.002). CONCLUSIONS:: Many patients suffer from posttraumatic stress symptoms, anxiety, and depression after trauma and ICU stay. The strongest predictors of psychologic distress 12 months after discharge were having factual memories from the ICU stay, being pessimistic, and being out of work before the injury.
PubMed ID
20664371 View in PubMed
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